Active NPI
Bimal R Shah MD PC
- Specialist
- Augusta, GA
National Provider Identifier
1164056859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- BIMAL R SHAH MD PC
- Practice address
- 820 Saint Sebastian Way Ste 2a
Augusta, GA 30901-2636 - Phone
- (706) 722-1249
- NPI assigned
- Mar 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bimal R Shah, MD
- Title
- Medical Director
- Phone
- (706) 722-1249
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
820 Saint Sebastian Way Ste 2a
Augusta, GA 30901-2636
Mailing address
820 Saint Sebastian Way Ste 2a
Augusta, GA 30901-2636
Phone (706) 722-1249
Other names 1
- HEART & VASCULAR ASSOCIATES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200611000888 | GA | Part B Supplier - Clinic/Group Practice | 8123449501 |
Receives reassigned benefits from 2 practitioners Practice locations: Augusta, GA |
National Provider Directory
National Provider DirectoryLocations
820 Saint Sebastian Way
Ste 2A
Augusta, GA 30901
Phone (706) 722-1249
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Newnan, GA
- NPI 1871976803
-
- Cardiovascular Disease Physician
- Aiken, SC
- NPI 1215027263
-
- Cardiovascular Disease Physician
- Aiken, SC
- NPI 1114906641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592956800000",
"number": "1164056859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 SAINT SEBASTIAN WAY STE 2A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012636",
"telephone_number": "706-722-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SAINT SEBASTIAN WAY STE 2A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012636",
"telephone_number": "706-722-1249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIMAL R SHAH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-03",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "BIMAL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "706-722-1249",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HEART & VASCULAR ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.